Provider Demographics
NPI:1760836365
Name:AURA RHEUMATOLOGY LLC
Entity Type:Organization
Organization Name:AURA RHEUMATOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-838-9700
Mailing Address - Street 1:2239 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2656
Mailing Address - Country:US
Mailing Address - Phone:609-838-9700
Mailing Address - Fax:609-838-9702
Practice Address - Street 1:2239 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-2656
Practice Address - Country:US
Practice Address - Phone:609-838-9700
Practice Address - Fax:609-838-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty